Please list all your animals you have owned in the last 5 years, not including current animals) (name, species, breed, sex, age and where they are now)

Veterinarian

Veterinarian used for your pet(s) (if you do not currently have pets, please list the vet used for your previous pets). List name of clinic, phone number, address, name(s) of pets treated here, and name the account is under. Some vets require you to release your records to Heartland; please call your vet and advise them a representative from Heartland will be calling to check on the vetting status of your pets.

Vet's Phone Number

Vet's Phone Number

(###)

###

####

Have you ever turned a pet into a shelter? *

Yes

No

If you have turned a pet into a shelter, please explain why.

Where will this pet be kept when home alone? *

Crate, specific room, free roam of the house, etc.

How long will your pet be left alone daily? *

1 to 2 hours

2 to 3 hours

4 to 6 hours

More than 6 hours

Who will be responsible for the care/training of this pet? *

Where will your pet sleep at night? *

Do you agree to allow a Heartland representative to perform a home visit before fostering? *

A home visit is not required for all fostering, but may be requested at any point during fostering.

Yes

No

What behavior characteristics in a cat are important to you? *

What are your goals for fostering this cat *

What is the lifestyle you are expecting this cat to adapt to? *

Heartland kitties are shown at adoption events (usually on Saturday's) and during week-long showings in the Petsmart adoption centers. What would your availability be to have your foster(s) attend these type of events? *

How did you hear about us?

Please provide a personal reference: *

This can be a friend, family member, employer or member of the clergy. Be sure to include name, address and phone number.

Math question *

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

Thank you!

If you do not receive a response to your submitted application within 2 business days, please contact us at 574-400-5633 orinfo@heartlandsmallanimalrescue.org.